Provider Demographics
NPI:1740384965
Name:SEARCY, MARY LENORA (PHD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:LENORA
Last Name:SEARCY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11249 LOCKWOOD DR STE C
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4564
Mailing Address - Country:US
Mailing Address - Phone:301-570-7549
Mailing Address - Fax:301-570-0362
Practice Address - Street 1:11249 LOCKWOOD DR STE C
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4564
Practice Address - Country:US
Practice Address - Phone:301-570-7549
Practice Address - Fax:301-570-0362
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2014103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical